HomeMy WebLinkAboutHANKS BROTHERS - INSURANCE CERTIFICATECERTIFICATE OF INSURANCE
This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
,....,.<s ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida
❑ STATE FARM LLOYDS, Dallas, Texas
insures the following policyholder for the coverages indicated below:
Policyholder HANKS BROTHERS INC
Address of policyholder 9931 OXFORD ROAD, LONGMONT, CO 80501
Location of operations
Description of operations
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms, exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims.
POLICY PERIOD
LIMITS OF LIABILITY
POLICY NUMBER
TYPE OF INSURANCE
Effective Date Expiration Date
(at beginning of policy period)
96 KP 8544 8
Comprehensive 11/24/05 11/24/06
BODILY INJURY AND
Business Liability
PROPERTY DAMAGE
-----------------------------
This insurance includes:
---------------------------- -------------------------------------
® Products - Completed Operations
® Contractual Liability
Each Occurrence $ 1, 000, 000
Personal Injury
Q� Advertising Injury
General Aggregate $ 2, 000, 000
❑
Products -Completed $ 2, 000, 000
❑
Operations Aggregate
POLICY PERIOD
BODILY INJURY AND PROPERTY DAMAGE
EXCESS LIABILITY
Effective Date Expiration Date
(Combined Single Limit)
96 EB 6350 6
❑ Umbrella
05/15/06 05/15/07
Each Occurrence $ 1, 000, 000
❑ Other
Aggregate $
POLICY PERIOD
Part I - Workers Compensation - Statutory
Effective Date ; Expiration Data
Workers' Compensation
Part 11- Employers Liability
and Employers Liability
Each Accident $
Disease - Each Employee $
Disease - Policy Limit $
POLICY PERIOD
LIMITS OF LIABILITY
POLICY NUMBER
TYPE OF INSURANCE
Effective Data : Expiration Data
(at beginning of policy period)
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN,
Name and Address of Certificate Holder
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, COLORADO 80522-0580
If any of the described policies are canceled before
their expiration date, State Farm will try to mail a
written notice to the certificate holder days
before cancellation. If however, we fail to mail such
notice, no obligation or liability will be imposed on
State Fgw of its agents or representatives.
-Signat Authorized Representative
T 09/29/06
Title Date
GORDON C MOORE
Agent Name
Telephone Number 303-530-0404
Agent's Code Stamp
Agent Code 1618
AFO Code F626
558-994 a_5 Rev. 77-08-2004 Printed in U.SA.